Zhang Qian-Ru, Fu Wen-Bin
Acupuncture-Moxibustion Department of Zhuhai Hospital Affiliated to Guangdong Hospital of TCM, Zhuhai 519015, China.
Zhongguo Zhen Jiu. 2010 May;30(5):375-8.
To compare the clinical efficacy of osteoarthritis of knee joint treated by acupuncture and moxibustion and simple acupuncture.
Sixty-two cases were randomized into an observation group (32 cases) and a control group (30 cases). In the observation group, acupuncture and non-scarring moxibustion were applied. Acupuncture was applied on the local acupoints of knee and moxibustion was performed on Shenshu (BL 23) and Xuehai (SP 10). In the control group, only acupuncture was adopted. The clinical efficacy was observed after 2 courses of treatment. Lysholm knee joint motor function scale, visual analogue scale (VAS) and WHO quality of life (WHOQOL-BREF) were used for the assessment of scores before and after treatment and the statistical analysis of clinical efficacy.
The total effective rate (93.8%, 30/32) in the observation group was superior to that (87.7%, 26/30) in the control group (P < 0.05). The scores in Lysholm knee joint motor function scale and VAS were improved after treatment compared with those before treatment in two groups (P < 0.05, P < 0.01). The degree of improvement in the observation group was superior to that in the control group (P < 0.05, P < 0.01). There was no statistical significance in the scores of WHOQOL-BREF before and after treatment in two groups as well as in intra-group comparison (all P > 0.05).
Acupuncture and moxibustion in combination achieve the definite clinical efficacy on osteoarthritis of knee joint and this therapy is superior to simple acupuncture in the improvement of motor function of knee joint and the alleviation of pain.
比较针灸与单纯针刺治疗膝关节骨性关节炎的临床疗效。
将62例患者随机分为观察组(32例)和对照组(30例)。观察组采用针刺结合非瘢痕灸治疗,针刺膝关节局部穴位,艾灸肾俞(BL 23)和血海(SP 10)。对照组仅采用针刺治疗。治疗2个疗程后观察临床疗效。采用Lysholm膝关节运动功能量表、视觉模拟评分法(VAS)和世界卫生组织生活质量量表(WHOQOL - BREF)对治疗前后的评分进行评估,并对临床疗效进行统计学分析。
观察组总有效率为93.8%(30/32),优于对照组的87.7%(26/30)(P < 0.05)。两组治疗后Lysholm膝关节运动功能量表和VAS评分均较治疗前改善(P < 0.05,P < 0.01),观察组改善程度优于对照组(P < 0.05,P < 0.01)。两组治疗前后WHOQOL - BREF评分及组内比较差异均无统计学意义(均P > 0.05)。
针灸结合治疗膝关节骨性关节炎临床疗效确切,在改善膝关节运动功能和缓解疼痛方面优于单纯针刺治疗。